Medicare Blog

get what’s yours for medicare

by Melyssa Ortiz Sr. Published 2 years ago Updated 1 year ago
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What is the best insurance to go with Medicare?

  • Medicare Supplement Insurance helps you manage out-of-pocket costs for covered services
  • Also called Medigap because it covers “gaps” in costs after Medicare Parts A and B pay their share
  • Medigap Plans C and F, which cover the Medicare Part B deductible, are being discontinued in 2020

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What services can you get for free from Medicare?

  • Medicare Advantage plan monthly premium. If a Medicare Advantage plan is free, you won’t have to pay a monthly premium to be enrolled.
  • Part B monthly premium. Most free Medicare Advantage plans still charge a separate monthly Part B premium. ...
  • Deductibles. ...
  • Coinsurance/copayments. ...

How to get started with Medicare?

Read More Attention Medicare users: more access to free at-home COVID-19 tests is on the way A new initiative to increase access to at-home COVID-19 tests will start in early spring, the government says Read More Melinda French Gates and MacKenzie Scott ...

What other insurance do I need with Medicare?

What it means to pay primary/secondary

  • The insurance that pays first (primary payer) pays up to the limits of its coverage.
  • The one that pays second (secondary payer) only pays if there are costs the primary insurer didn't cover.
  • The secondary payer (which may be Medicare) may not pay all the uncovered costs.

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What's yours Social Security?

A coauthor of the New York Times bestselling guide to Social Security Get What’s Yours authors an essential companion to explain Medicare, the nation’s other major benefit for older Americans. Learn how to maximize your health coverage and save money.#N#Social Security provides the bulk of most retirees’ income and Medicare guarantees them affordable health insurance. But few people know what Medicare covers and what it doesn’t, what it costs, and when to sign up. Nor do they understand which parts of Medicare are provided by the government and how these work with private insurance plans—Medicare Advantage, drug insurance, and Medicare supplement insurance.#N#Do you understand Medicare’s parts A, B, C, D? Which Part D drug plan is right and how do you decide? Which is better, Medigap or Medicare Advantage? What do you do if Medicare denies payment for a procedure that your doctor says you need? How do you navigate the appeals process for denied claims? If you’re still working or have a retiree health plan, how do those benefits work with Medicare? Do you know about the annual enrollment period for Medicare, or about lifetime penalties for late enrollment, or any number of other key Medicare rules?#N#Health costs are the biggest unknown expense for older Americans, who are turning sixty-five at the rate of 10,000 a day. Understanding and navigating Medicare is the best way to save health care dollars and use them wisely. In Get What’s Yours for Medicare, retirement expert Philip Moeller explains how to understand all these important choices and make the right decisions for your health and wealth now—and for the future.

What is open enrollment in Medicare?

Open enrollment is the annual equivalent of a Medicare do-over. It permits people to choose new plans, usually with no adverse coverage or pricing consequences . It’s a great deal, but like much else about Medicare, people often don’t understand how it works.

What insurance did Phyllis have?

Phyllis wound up with Original Medicare, the hoped-for Part D plan, and a Medigap policy. This is one of two classic paths into Medicare. The other involves a Medicare Advantage plan, usually bundled with Part D drug coverage. She later admitted she chose her Medigap insurer because it was the only company that answered the phone when she called.

What was Carol's husband's health insurance?

Carol’s husband, Ernesto, had a Medicare Advantage plan in Texas, when he was diagnosed in June 2014 with pancreatic cancer. Little more than six months later, Ernesto would be dead following complications from surgery. During this time, when Carol wanted to spend as much time as possible with her partner, she instead had to fight insurance company rules and respond to unexpected surprises about what his Medicare Advantage plan did not cover.

How long was Phyllis' first phone call with the SSA?

Phyllis’s first phone call with the Social Security Administration (SSA) began to make her see that thirty days was a laughably short time frame, even for someone as skilled as she in figuring out how things worked. Social Security, it turns out, does a lot of Medicare enrollment work and is the official Medicare traffic cop when it comes to determining if people have enrolled for various parts of Medicare on a timely basis.

When did Glen and Margie file for Medicare?

When they realized their error in 2014, they had missed one of the many enrollment periods available during the year, and were told they had to wait until the beginning of 2015 to file for Medicare. Under its rules, their coverage would not become effective until July 2015.

Is Phyllis a match for Medicare?

While she loved being a partner in a big corporate law firm, she finally retired from the firm when she turned 75. Like many sharp tacks, however, Phyllis was no match for Medicare. And when she explained her problems to me, she repeatedly used the phrase “No one told me.”

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Community Reviews

My sincere thanks to Edelweiss, Simon & Schuster Publishers, Philip Moeller and my reading friend Robin Beerbower for bringing my attention to this book due to be published October 4, 2016.

Overview

A coauthor of the New York Times bestselling guide to Social Security Get What’s Yours authors an essential companion to explain Medicare, the nation’s other major benefit for older Americans. Learn how to maximize your health coverage and save money.

About the Author

Veteran journalist Philip Moeller has won a Gerald Loeb award for distinguished business and financial journalism.

Read an Excerpt

Glen didn’t retire until he turned 70 in 2010. He and his wife, Margie, were covered until then by his employer’s health plan. Glen read the annual Medicare & You guide put out by the Centers for Medicare & Medicaid Services (CMS). His clear understanding from the guide was that he had been automatically enrolled in Medicare since he turned 65.

Description

A coauthor of the New York Times bestselling guide to Social Security Get What's Yours authors an essential companion to explain Medicare, the nation's other major benefit for older Americans. Learn how to maximize your health coverage and save money.

Good Information

This book gives a lot of good information on the many types of Medicare policies available and gives you some of the pitfalls of each type of policy. The writing is an easy read and the writer gives many websites obtain more detailed information.

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